Mayrabeth Atilano Collazo

Individual provider Active NPI Registered Nurse · Anasco, PR

NPI 1558025239 · NPPES record last updated Oct 28, 2021

Key facts

NPI
1558025239
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
091559 (PR)
Practice address
Carretera 405 KM 2.4
Barrio Carreras
Anasco, PR 00610-9057
Phone
(970) 402-1284
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
091559PRMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 091559 PR Yes

Addresses

Primary practice location

Carretera 405 KM 2.4
Barrio Carreras
Anasco, PR 00610-9057

Mailing address

RR 4 Box 5602
Anasco, PR 00610-9057
Phone (970) 402-1284

Other providers in Anasco, PR

All providers in Anasco, PR · Registered Nurse in Puerto Rico

Sources for this page

Verify at the official NPI Registry.